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Quality Measures

Heart Attack Care

An acute myocardial infarction (AMI)—or heart attack—happens when one of the heart’s arteries becomes blocked and the supply of blood and oxygen to part of the heart muscle is slowed or stopped. When the heart muscle doesn’t get the oxygen and nutrients it needs, the affected heart tissue may die. These measures show some of recommended treatments provided, if appropriate, for most adults who have had a heart attack.

Timely Heart Attack Care

Average number of minutes before outpatients with chest pain or possible heart attack who needed specialized care were transferred to another hospital

Abington Memorial Hospital Not Applicable *
Lansdale Hospital 57 minutes
Pennsylvania Average 62 minutes
National Average 58 minutes

A lower number of minutes is better.

What It Is and Why It Is Important

  • If a hospital does not have the facilities to provide specialized heart attack care, it transfers patients with possible heart attack to another hospital that can give them this care.

footnotes:
*
Not applicable to Abington Memorial Hospital because patients remain at AMH for treatment and are not transferred to another facility.

Average number of minutes before outpatients with chest pain or possible heart attack got an ECG

Abington Memorial Hospital Not Available *  **
Lansdale Hospital 9 minutes
Pennsylvania Average 9 minutes
National Average 7 minutes

A lower number of minutes is better.

What It Is and Why It Is Important

  • “ECG” (sometimes called EKG) stands for electrocardiogram. An ECG is a test that can help doctors know whether patients are having a heart attack.
  • Standards of care say that patients with chest pain or a possible heart attack should have an ECG upon arrival, preferably within 10 minutes.
  • Sometimes patients get an ECG done before they get to the hospital (for example, by the ambulance staff). This is counted as “0 minutes.”

footnotes:
 *
The number of cases/patients is too few to report.
**Results are based on a shorter time period than required.

Outpatients with chest pain or possible heart attack who got drugs to break up blood clots within 30 minutes of arrival

Abington Memorial Hospital Not Available *
Lansdale Hospital Not Available **
Pennsylvania Average 38%
National Average 57%

Higher percentages are better.

What It Is and Why It Is Important

  • Certain patients having a heart attack should get a “clot busting” drug to help break up the blood clots and improve blood flow to the heart.
  • Standards for care say that a clot busting drug should be given within 30 minutes of arrival at the hospital.

footnotes:
 * Results are not available for this reporting period.

** No cases met the criteria for this measure.

Outpatients with chest pain or possible heart attack who got aspirin within 24 hours of arrival

Abington Memorial Hospital Not Available *  **
Lansdale Hospital 98%
Pennsylvania Average 97%
National Average 96%

Higher percentages are better.

What It Is and Why It Is Important

  • For many patients having a heart attack, taking aspirin soon after symptoms of a heart attack begin may help break up a clot and make the heart attack less severe. If patients have not taken aspirin themselves before going to the hospital, they should get aspirin when they arrive.
  • Standards for care say patients should get aspirin within 24 hours of arrival at the hospital.

footnotes:
 * The number of cases/patients is too few to report.
** Results are based on a shorter time period than required.

Heart attack patients given fibrinolytic medication within 30 minutes of arrival

Abington Memorial Hospital Not Available *
Lansdale Hospital Not Available *
Pennsylvania Average 40%
National Average 61%

Higher percentages are better.

What It Is and Why It Is Important

  • Fibrinolytic drugs are medicines that can help dissolve blood clots in blood vessels and improve blood flow to your heart. You should get them within 30 minutes of arrival at the hospital.

footnotes:
* No cases met the criteria for this measure.

Heart attack patients given PCI within 90 minutes of arrival

Abington Memorial Hospital 93%
Lansdale Hospital Not Available *
Pennsylvania Average 95%
National Average 95%

Higher percentages are better.

What It Is and Why It Is Important

  • Percutaneous Coronary Interventions (PCI) are procedures that are among the most effective ways to open blocked blood vessels and help prevent further heart muscle damage.

footnotes:
* No cases met the criteria for this measure.

Effective Heart Attack Care

Heart attack patients given aspirin at discharge

Abington Memorial Hospital 99%
Lansdale Hospital 100%
Pennsylvania Average 99%
National Average 99%

Higher percentages are better.

What It Is and Why It Is Important

  • Blood clots can block blood vessels. Aspirin can help prevent blood clots from forming or help dissolve blood clots that have formed. Following a heart attack, continued use of aspirin may help reduce the risk of another heart attack.
  • Aspirin can have side effects like stomach inflammation, bleeding, or allergic reactions. Talk to your health care provider before using aspirin on a regular basis to make sure it’s safe for you.

Heart attack patients given a prescription for a statin at discharge

Abington Memorial Hospital 99%
Lansdale Hospital 97%
Pennsylvania Average 98%
National Average 98%

Higher percentages are better.

What It Is and Why It Is Important

  • Statins are drugs used to lower cholesterol. Cholesterol is a fat (also called a lipid) that your body needs to work properly. Cholesterol levels that are too high can increase your chance of getting heart disease, stroke, and other problems.
  • For patients who have had one or more heart attacks and have high cholesterol, taking Statins can lower the chance that they’ll have another heart attack or die.

Source: The information was provided from Hospital Compare (for the months of April 1, 2012 through March 31, 2013), a quality tool developed by the United States Department of Health and Human Services.  You may use the information in Hospital Compare together with the other information you gather about hospitals as you decide where to get hospital services. You may want to contact your health care provider, your State Survey Agency or your state Quality Improvement Organization (QIO) for more information. If you have a complaint about the quality of the medical care you or a loved one received at a hospital, first contact the hospital's patient advocate. Or, contact your state QIO. If you have other complaints about a health care facility, contact your State Survey Agency. Additional information about hospitals may be found on the state websites.